HomeMy WebLinkAbout10-08-2018 - Bernald - Form 497 -be rounded to whole dollars.
Amounts ma
497 Contribution Report
$
a
C
t; O)
0
o W 3
Ct c)
TY OF SARATOGA
CO
q
CO
d
q
) 0
2� \
k/ cc
\CL
2
ƒ
Council 2018
a
-0
as
E
3
& /
_J
0
}
/
zz
AREACODE/PHONE NUMBER
STREET ADDRESS
) N-
O 2
'Al J
1. Contribution(s) Received
AMOUNT
RECEIVED
$1000.
❑ Check if Loan
i
Provide interest rate
❑ Check if Loan
Provide interest rate
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME OF BUSINESS)
Non-profit Executive Director/ Sangam
Arts
CONTR !BUT
CODE
/ / f- / o
_ o o n co
I• ••
/ 0 / / 0
_ o o e@
■■LI■O
/ 0 / 0
_ o o I m
LI■■■■
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Usha Srinivasan
Saratoga, Ca 95070
0
w>
0LW
0
&
o
o
y
d
..,--
**Contributor Codes
Reason forAmendme
0'
/1/
/�N. /
CO
3
u- CID
a. §
t)
§
7
2